甘肃省三级综合医院康复医疗服务质量综合评价

doi:10.3969/j.issn.1006-9771.2021.01.018

Abstract

Abstract: Objective To investigate the quality of rehabilitation medical service in tertiary general hospitals in Gansu Province. Methods Stratified sampling was used to sample tertiary general hospitals in Gansu Province for on-site surveys in 2017. A quality evaluation index system was established in the view of medical service providers, including 17 indicators, based on Donabedian model and experts' opinions. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) and Rank-sum Ratio were applied to make a comprehensive evaluation on the overall service quality of the hospital rehabilitation medical service. Results A total of 27 tertiary general hospitals were sampled, in 13 cities/prefectures of Gansu Province. For the structure quality, the compliance rate of the business operation area and the number of beds in the rehabilitation medicine department were 77.78% and 51.85% respectively; while the compliance rates of the physicians, therapists and nurses were all less than 50%. For the process and results quality, the compliance rates were all more than 85%. For the overall quality of rehabilitation medical service, five hospitals were classified as Good, located in Lanzhou, Tianshui and Jiayuguan; 18 hospitals were classified as Medium, located in Longnan, Longdong, Lanzhou and surround, Linxia and Hexi regions; four hospitals classified as Poor, located in Lanzhou and Tianshui. Conclusion The overall quality of rehabilitation services in the tertiary general hospitals of Gansu Province needs to be improved, and the development of rehabilitation services is uneven in various regions. Comprehensive evaluation provides an important reference to promote the rational distribution of rehabilitation medical resources and improve the quality of rehabilitation medical services.

Key words: rehabilitation medicine, service quality, tertiary hospitals, Technique for Order Preference by Similarity to Ideal Solution, Rank-sum Ratio, Gansu

CLC Number:

R197.3

SHI Xiu-e, WANG Bin-xiong, FANG Ya-qiong, ZHANG Yan, CHEN Zhao-quan, WANG Bo, WANG Man-xia, ZHANG Ting, HUANG Chao-rong, PEI Hong-bo. Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 117-124.

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Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China

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